Individual
DR. PAUL JOHN GRODAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 N ROBERTSON BLVD, SUITE 211, BEVERLY HILLS, CA 90211-2142
(310) 854-0100
(310) 659-3297
Mailing address
150 N ROBERTSON BLVD, SUITE 211, BEVERLY HILLS, CA 90211-2142
(310) 854-0100
(310) 659-3297
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G30279
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G302790
—
CA
Enumeration date
08/29/2006
Last updated
07/09/2007
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